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HESI RN Mental Health Exam questions and answers 2024
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HESI RN Mental Health Exam questions and answers 2024
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HESI RN Mental Health Exam questionsand answers 2024
A married male client with three children has lost his job and states that he feels useless. He is tearful,
upset, and embarrassed. What is an appropriate objective of care for this client?
1. Limiting tearfulness
2. Increasing self-esteem
3. Controlling feelings of sadness
4. Promoting acceptance by others - (answer)2. Increasing self-esteem
The loss of a job can precipitate negative feelings about the self and decrease self-esteem. Feelings
should be expressed, not limited; attempting to decrease a client's crying often ends up worsening it.
Crying is not necessarily an expression of sadness; other feelings are involved. The focus should be on
the client's self-acceptance, not acceptance by others.
A 44-year-old client has been unable to function since her husband asked for a divorce 2 weeks ago. She
is brought to the crisis intervention center by a friend. What type of crisis is this situation?
1. Social
2. Situational
3. Maturational
4. Developmental - (answer)2. Situational
Situational crises involve an unanticipated loss, such as a divorce, that is threatening to the client. Social
crises involve multiple losses such as those occurring during major disasters. Maturational crises occur in
response to stress experienced as one struggles with developmental tasks. Developmental
(maturational) crises are associated with developmental tasks; divorce is not a developmental task.
,A resident in a nursing home recently immigrated to the United States from Italy. How does the nurse
plan to provide emotional support?
1. By offering choices consistent with the client's heritage
2. By ensuring that the client understands American beliefs
3. By assisting the client in adjusting to the American culture
4. By correcting the client's misconceptions about appropriate health practices - (answer)1. By offering
choices consistent with the client's heritage
Adherence to a plan of care is enhanced by the nurse's providing choices consistent with the client's
cultural beliefs and practices. The nurse's cultural or personal beliefs and biases should not influence or
interfere with the implementation of appropriate care. Helping the client adjust to the American culture
is not the priority at this time; care should be adapted to the client's needs and culture. The person's
cultural practices should not be addressed unless they are detrimental to the person's health.
A nurse should reassess an older adult client's needs and current plan of care when the client's behavior
indicates the development of what symptom?
1. Confusion
2. Hypochondriasis
3. Additional complaints
4. Increased socialization - (answer)1. Confusion
The development of confusion indicates that the client's ability to maintain equilibrium has not been
achieved and that further disequilibrium is occurring. Hypochondriasis and additional complaints do not
indicate that the plan needs to be changed unless the client's history demonstrates no prior use of these
defenses. Increased socialization is a positive response to the plan of care that does not require
reassessment.
An injured child is brought to the emergency department by the parents. While interviewing the
parents, the nurse begins to suspect child abuse. Which parental behaviors might support this
conclusion? Select all that apply.
,1. Demonstrating concern for the injured child
2. Focusing on the child's role in sustaining the injury
3. Changing the story of how the child sustained the injury
4. Asking questions about the injury and the child's prognosis
5. Giving an explanation of how the injury occurred that is not consistent with the injury - (answer)2.
Focusing on the child's role in sustaining the injury
3. Changing the story of how the child sustained the injury
5. Giving an explanation of how the injury occurred that is not consistent with the injury
The child is often made the scapegoat in the situation; the parents blame the child because they have
unrealistic expectations of the child. Discrepancies or inconsistencies in the history result from attempts
to present a story that is not based in fact. Discrepancies between the parental explanation for the
child's injuries and the physical findings or discrepancies in the history that each parent gives are
common because the information that is being provided is not based in fact. Abusive parents usually do
not ask questions about the injury or prognosis and demonstrate little or no interest in their child's well-
being.
A nurse is planning to teach a client about self-care. What level of anxiety will best enhance the client's
learning abilities?
1. Mild
2. Panic
3. Severe
4. Moderate - (answer)1. Mild
Mild anxiety motivates one to action, such as learning or making changes. Higher levels of anxiety tend
to blur the individual's perceptions and interfere with functioning. Attention is severely reduced by
panic. The perceptual field is greatly reduced with severe anxiety and narrowed with moderate anxiety.
A nurse is caring for depressed older adults. What precipitating factors for depression are most common
in the older adult without cognitive problems? Select all that apply.
, 1. Dementia
2. Multiple losses
3. Declines in health
4. A milestone birthday
5. An injury requiring hospitalization - (answer)2. Multiple losses
3. Declines in health
Depression in the older adult is most often associated with the loss of family members and friends (e.g.,
death, relocation) and declines in mobility, health, and income. A decline in health, particularly when
associated with a chronic illness, frequently precipitates depression in older adults. Dementia is a
cognitive problem. Research does not correlate the onset of depression with a milestone birthday in
older adults. A traumatic injury does not precipitate the onset of depression in the older adult as often
as does a chronic illness.
The nurse observes biting, rocking, sucking, and lags in intellectual development in a child. She also
concludes the child is suffering from sleep disorders. What could be the reason for the child's condition?
1. Physical neglect
2. Sexual abuse
3. Physical abuse
4. Emotional abuse - (answer)4. Emotional abuse
The child may be neglected if the parent is having a mental illness such as psychosis. Sleep disorders,
feeding disorders, biting, rocking, sucking, and lags in intellectual development are behavioral findings
associated with emotional abuse. Physical neglect, sexual abuse, and physical abuse manifest in
different sets of signs and symptoms.
Which emotional condition may be apparent in a client with an addiction?
1. Insomnia
2. Social isolation
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